Henegar, Laurel Elise

Henegar, Laurel Elise is an individual health care provider with primary practice located at 6350 W Andrew Johnson Highway , Talbott TN 37877. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Henegar, Laurel Elise can be contacted via phone (423) 587-7337.

Contact Information

Primary practice address
6350 W Andrew Johnson Highway Talbott TN 37877
Fax: (423) 714-2355
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X PE1467 Tennessee

Profile Details

NPI number 1538147590
LBN Legal business name Henegar, Laurel Elise
Credentials LPE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Feb 1st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538147590 NPPES
Tennessee MEDICAID 5441416

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